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Organization
MAKAI MASSAGE & SPA
Active
Organization
MAKAI MASSAGE & SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MEGAN NORTON (LMT)
(503) 752-0446
Entity
Organization
Contact information
Practice address
3758 SE MILWAUKIE AVE, PORTLAND, OR 97202-3805
(503) 752-0446
Mailing address
6416 SE 19TH AVE, PORTLAND, OR 97202-5551
(503) 752-0446
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
13064
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13064
LMT
OR
Enumeration date
09/16/2015
Last updated
09/16/2015
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